Organization
SUMMIT COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY H BRYANT LCSW (PRESIDENT - OWNER)
(574) 286-0030
Entity
Organization
Contact information
Practice address
928 E WAYNE ST, SUITE C, SOUTH BEND, IN 46617-3024
(574) 286-0030
(574) 234-1994
Mailing address
53658 MARK DR, BRISTOL, IN 46507-9710
(574) 286-0030
(574) 234-1994
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010389A
IN
1041C0700X
Clinical Social Worker
34004850A
IN
1041C0700X
Clinical Social Worker
34004946A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373890
ANTHEM GROUP NUMBER
IN
01
—
000000373892
ANTHEM INDIV PROVIDER #
IN
01
—
000000393533
ANTHEM INDIV PROVIDER #
IN
01
—
000000485220
ANTHEM INDIV PROVIDER #
IN
Enumeration date
05/09/2007
Last updated
09/11/2025
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